From the databaseWhat the row says.
Every entry follows the same shape: what is happening, the mechanism, and the recommendation.
Scope
Supplement × Prescription
Last verified
June 4, 2026
CautionEmerging evidence
What is happening. Vortioxetine may increase bleeding tendency through serotonin effects on platelets. High-dose fish oil can have mild antiplatelet effects.
Mechanism. Serotonergic antidepressants impair platelet serotonin uptake; omega-3 fatty acids can modestly reduce platelet aggregation.
Recommendation. Use usual dietary or standard supplemental fish oil cautiously; monitor for bruising or bleeding, especially with anticoagulants, antiplatelet drugs, NSAIDs, surgery, or bleeding disorders.
Stack Score
How it moves the number.
Effect on the composite score
If both Fish Oil and Vortioxetine are in the same stack, this pair applies −5 to your Stack Score (per scored caution row).
The full algorithm, the clamping rules, and four worked stacks are at /methodology/stack-score.
SourcesSources, by evidence tier.
Every claim on this page is cited. PMIDs link straight to PubMed.
Reference material
1- 1Takeda Pharmaceuticals America Inc. TRINTELLIX US Prescribing Information. 2026.Needs sourceNo link